Infiltration Pariétale De Lidocaïne Et Douleur Post-Césarienne Au Centre Hospitalier Universitaire De Gynécologie Obstetrique Befelatanana, Madagascar

José WELSON, Toky Andriamahefa RAFANOMEZANTSOA, Thierry Pierre RANDRIANAMBININA, Marié Osé Judicaël HARIOLY NIRINA, Nasolotsiry Enintsoa RAVELOSON, Hery Rakotovao ANDRIANAMPANALINARIVO

Abstract


Introduction: One of the main problem to the operated patients is the fear of

uncontrolled postoperative pain.

Objective: Evaluation of Lidocaïne infiltration after cesarean section pain.

Methods: Comparative randomized study, at the University Hospital of

Gynecology and Obstetrics of Befelatanana, during 10 months, among 80 women undergoing ceasarean sectioon under spinal anesthesia. Group A (n = 40) was infiltrated

before skin closure with 400 mg of Lidocaïne and group B (n = 40) not infiltrated. We evaluated the postoperative EVA scores at H1, H2, H3, H4, H8, H12.

Results: The intensity of postoperative pain was respectively 17.3 ± 10.3 mm at H3,

23.5 ± 14.9 mm at H4, 23.3 ± 16.3 mm at H8, 17.6 ± 11. 5 mm at H12 against 30.6 ±

7.3 mm at H3, 39.6 ± 7.4 mm at H4, 40.1 ± 13.2 mm at H8, 29.1 ± 7.4 mm at H12. The dose of additional analgesic administered in group A was significantly decreased with

600 ± 744. 2 mg compared to 2000 ± 226. 45 mg for group B. The request time for

additional analgesia is on average 590. 02 ± 203. 81 minutes for group A against 237. 7

± 31. 41 minutes for group B.

Conclusion: Parietal infiltration with Lidocaïne in the management of post-caesarean pain provides a higher relief than analgesic treatment without Lidocaïne.

 


Keywords


Analgesia, cesarean, infiltration, lidocaine, pain

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DOI: http://dx.doi.org/10.52155/ijpsat.v36.2.4946

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